Individual
LOUIS ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 395-8369
Mailing address
134 BUSINESS PARK DR, VIRGINIA BEACH, VA 23462-6523
(757) 473-0055
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
24166055
VA
Other
Enumeration date
08/04/2006
Last updated
11/29/2007
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